Customer Survey

Please correct the field(s) marked in red below:

How Are We Doing?
We are committed to providing you with the best experience possible, so we welcome your comments.

My Veterans Service Representative was...
Please rate the quality of the service you received from your Veterans Service Representative (VSR).
Please rate the quality of the service you received from your Veterans Service Representative (VSR).
Was your Veterans Service Representative…
Courteous?
Courteous?
Informative?
Informative?
Prompt and efficient?
Prompt and efficient?

Please rate the quality of the service you received from our receptionist.
Please rate the quality of the service you received from our receptionist.
Was our office warm & inviting?
Was our office warm & inviting?
Please rate your overall experience.
Please rate your overall experience.
Do you plan to return to our office?
Do you plan to return to our office?
Would you recommend our services to other veterans?
Would you recommend our services to other veterans?
What can we do to improve our services?
Any other comments?
Name (Optional)
Do you wish to be contacted in regard to this survey?
 *
Do you wish to be contacted in regard to this survey?